반코마이신 내성 장내구균 분리 환자에서 황색포도알균의 내성

김동욱,신선혜,김혜진,류선,이선희,장철훈,김영대,곽임수 대한감염학회 2004 감염과 화학요법 Vol.36 No.1

목적 : Vancomycin-resistant enterococci (VRE)로부터 S. aureus로의 vacomycin 내성 유전자의 전파는 오래전부터 예견되어져 왔으며 큰 걱정거리로 남아있다. 최근에 vanA 유전자를 가지고 있는 vancomycin-resistant S. aureus 2주가 미국에서 분리되었다. 이 연구의 목적은 VRE를 보균하고 있는 환자들에서 S. aureus 보균양상과 항균제 내성을 알아보는데 그 목적이 있다. 재료 및 방법 : 2001년 1월부터 2001년 12월까지 부산대학교병원에 입원하였던 환자들 중 임상검체에서 VRE가 분리된 환자 7명과 2001년 9월부터 12월까지 외과 중 환자실에 입원하였던 환자들 중 VRE 감시배양을 시행하였던 20명의 환자들을 대상으로 하였다. 환자들은 전비공, 액와부, 회음부, 직장에서 매주 면봉으로 검체를 채취하였다. 선별배지에서 검체를 배양하여 S. aureus를 분리하였고 원판 확산법을 이용하여 methicillin 감수성을 측정하였다. Broth microdilution 법으로 vancomycin MIC를 측정하였다. 결과 : 총 27명에서 73회의 방문과 292회의 배양이 시행되었으며 총 67주의 S. aureus가 분리되었다. 이중 64주(95.5%)가 methicillin 내성이었다. 전비공 MRSA 보균율은 VRE를 보균하고 있었던 환자는 19명 중 11명(58%)에서, VRE를 보균하지 않았던 환자는 8명 중 3명(37.5%)으로 VRE 보균자에서 보균율이 더 높았다. 총 64주의 MRSA의 vancomycin MIC의 분포는 0.5-2㎍/mL였으며 2㎍/mL를 초과하는 균주는 발견되지 않았다. 64주 중 vancomycin MIC가 1㎍/mL인 균주가 54주(84.4%)로 가장 많았으며 2㎍/mL 6주(9.4%), 0.5㎍/mL 4주(6.3%)의 순이었다. 결론 : VRE 환자에서 S. aureus의 보균율은 비보균자 보다 높았으며 분리된 균주들은 대부분 MRSA였다. VRSA 균주는 발견되지 않았다. Background : The transfer of vancomycin resistance from vancomycin-resistant enterococci (VRE) to Staphylococcus aureus has been predicted. The purpose of this study is to determine the prevalence and antibiotics resistance of S. aureus among patients colonized with VRE. Methods : Between January 2001 and December 2001, a prospective study was performed at Pusan National University Hospital on 27 patients. Surveillance swabs from nasal cavity, axilla, perineum, and rectum were obtained at weekly intervals. Methicillin susceptability of S. aureus was determined by oxacillin disk diffusion test and minimum inhibitory concentration (MIC) for vancomycin by microdilution broth test. Results : Total of 292 swab cultures were performed and 67 S. aureus isolates were collected. 64 isolates (95.5%) were resistant to methicillin. The prevalence of nasal MRSA carrier in 19 patients colonized with VRE was higher than that in 8 patients not colonized with VRE (58% vs. 37.5%). In 64 MRSA isolates, MIC (㎍/mL) for vancomycin ranged from 0.5 to 2. No isolates with MIC >2 ㎍/mL were observed. MIC of 1 ㎍/mL was shown (observed) in 54 isolates, 2 ㎍/mL in 6 isolates, and 0.5 ㎍/mL in 4 isolates. Conclusion : The prevalence of S. aureus with colonization of VRE is higher than that without colonization of VRE. Most of S. aureus isolates were resistant to methicillin. VRSA isolates were not observed.

항생제 다제내성균 Staphylococcus aureus SA2로부터 분리한 테트라사이클린 내성 플라스미드 pKH6의 염기서열

이대운,윤성준,김우구,신철교,임성환,이백락,문경호 한국미생물생명공학회 ( 구 한국산업미생물학회 ) 1996 한국미생물·생명공학회지 Vol.24 No.4

한국에서 임산균주로부터 분리한 테트라사이클린(Tc) 내성 플라스미드 pKH6의 전체 염기서열을 결정하여 가장 대표적인 Tc 내성 플라스미드인 pT181과 비교하였다. pKH6의 전체 길이는 4439bp로 pT181과 동일하게 나타났으며 염기서열은 7개의 염기에서 차이를 보였다. 전부 다 염기쌍이 치환된 형태로 나타났으며 그 중 3개는 coding 부위에서 일어났다. coding 부위에서 일어난 경우에도 1개는 동일한 아미노산을 coding 하였기 때문에 pT181과 차이가 없었으며 RepC와 Pre 단백질에 있어 각각 1개의 아미노산에서 차이를 나타내었다. The complete nucleotide sequence of pKH6, a tetracycline-resistance (Tc^r) plasmid isolated from multi-drug resistant Staphlococcus aureus SA2, has been determined and compared with that of the staphylococcal Tc^r plasmid pT181. The nucleotide sequences of the two plasmids are in agreement except for 7 nucleotides. All differences are caused by base pair substitutions. Among 6 substitutions, 3 occurred in coding regions. However, only tow base substitutions in coding regions resulted in changes of amino acid sequences in two different ORFs of repC and Pre proteins.

Paleoclimatic history and species diversity since 4.5 Ma(millions of years ago) in the equatorial Atlantic Ocean

Im Chul Shin,Hi-Il Yi,Won-Tae Kwon,Hyo-Sang Chung 한국기상학회 2002 대기 Vol.12 No.1

The Impact of Abrupt Climate Change on the Marine Ecosystem in the East Sea

Shin, Im-Chul,Yi, Hi-Il,Chung, Hyo-Sang,Kwon, Won-Tae,Chun, Jong-Hwa,Oh, Hyun-Taek Korea Association For Quaternary Research 2003 제사기학회지 Vol.17 No.2

Environmental changes caused by the abrupt climatic change are one of the important issues in the scientific community. In the East Sea, abrupt climatic shift, called Younger Dryas, is identified. The age of the Younger Dryas cold episode occurred at 11.2 ka. Overall, changes in circulation and bottom water conditions occurred during the Younger Dryas cold episode in the study area. Especially, climatic transition from meltwater spike to the Younger Dryas cold episode is characterized by significant shifts of oxygen isotope values, the coiling ratios of Neogloboquadrina pachyderma, and the planktonic foraminifers abundances. The impact of abrupt climate change on the ecosystem is very significant. In the East Sea, the calcium carbonate secreting organism(foraminifers) is replaced by silicon dioxide secreting organisms(diatom, radiolarian) after the abrupt and severe cold climatic event. Based on the Doctrine of Uniformitarianism, at least climate change for the next 100 years would be severely influence on the marine ecosystem.

Calcareous nannofossil biostratigraphy and paleoclimatic/paleoceanographic history of Deep Sea Drilling Project (DSDP) Site 249 (Indian Ocean) during late Cretaceous

Im Chul Shin 대한지질학회 1996 지질학회지 Vol.32 No.6·8

Spatial and Temporal Variations of Foraminifers as an Indicator of marine Pollution

Shin, Im-Chul,Yi, Hi-Il International Union of Geodesy And Geophysics Kore 1998 Korean Journal of Geophysical Research Vol.26 No.1

Sediment samples from five stations at the Shihwa Lake sewage outfall, west cost of Korea, were collected to evaluate the effect of the outfall on benthic foraminifers. Heavy metal (Cu and Zn) polluted the eastern part of the Shihwa Lake, adjacent to the Shihwa-Banwol Industrial Complexes, shows barren or nearly barren of benthic foraminifers, and the lowest number of species both at the core top and downcore. Excepting for the barren zone, pyritized benthic foraminifers abundantly occur both at the surface and downcore sediments in the western part of the Shihwa Lake, suggesting that foraminiferal disease by anoxic bacteria. Recent intrusion of pollutants form the Shihwa-Banwol Industrial Complexes and adjacent six major streams severely polluted the Shihwa Lake as shown by the low abundance (number/10 g) of benthic foraminifers, low number of Ammonia beccarii, low species diversity, and absence of both Elphidium spp. and ostracodes at the surface sediments compared of both downcore. Except the barren zone, both pyritized and non-pyritized Ammonia beccarii occur dominantly in the surface sediments and downcore. Elphidium spp. (either pyritized or non-phyritized) do not occur in the surface sediments of whole stations. However, they occur from the entire downcore sediments except in the eastern part of Shihwa Lake. Arenaceous foraminifers do not inhabit in the heavily polluted areas as evidenced by the occurrence of relatively deep core depth (11-15 cm). Ostracodes occur at the downcore sediments, but they do not occur at the surface sediments. Ostracodes also do not occur at the heavily polluted areas in the eastern part of the Shihwa Lake both at the surface and downcore sediments, indicating that the abundance of ostracodes also can be used for a pollution indicator.

Impact of winter monsoon on the standing stock and species compositions of foraminifers in the East Sea

Im Chul Shin,Hi-Il Yi,Won-Tae Kwon,Hyo-Sang Chung 한국기상학회 2002 대기 Vol.12 No.3

SPECIES DIVERSITY OF PLANKTONIC FORAMINIFERA IN THE EAST SEA (JAPAN SEA)

Im Chul SHIN(신임철),Byong-Kwon PARK(박병권),Hi-Il Yl(이희일) 한국고생물학회 1998 고생물학회지 Vol.14 No.2

Foraminifera as an Indicator of Marine Pollution

Shin, Im-Chul,Yi, Hi-Il Korea Association For Quaternary Research 2005 제사기학회지 Vol.19 No.2

Sediment samples from five stations at the Shihwa Lake sewage outfall, west coast of Korea, were collected to evaluate the effect of the outfall on benthic foraminifera. Heavy metal (Cu and Zn) polluted eastern part of the Shihwa Lake, adjacent to the Shihwa-Banwol Industrial Complexes, shows barren or nearly barren of benthic foraminifera, and the lowest number of species both at the core top and downcore. Excepting for the barren zone, pyritized benthic foraminifera abundantly occur both at the surface and downcore sediments in the western part of the Shihwa Lake, suggesting that foraminiferal disease by anoxic bacteria. Recent intrusion of pollutants from the Shihwa-Banwol Industrial Complexes and adjacent six major streams severely polluted the Shihwa Lake as shown by the low abundance (number/10 g) of benthic foraminifera, low number of A. beccarii, low species diversity, and absence of both Elphidium spp. and ostracodes at the surface sediments compared to the downcore. Except the barren zone, both pyritized and non-pyritized Ammonia beccarii occur dominantly in the surface sediments and downcore. Elphidium spp. (either pyritized or non-pyritized) do not occur in the surface sediments of whole stations. However, they occur from the entire downcore sediments except in the eastern part of Shihwa Lake. Arenaceous foraminifera do not inhabit in the heavily polluted areas as evidenced by the occurrence of relatively deep core depth (11-50 cm). Ostracodes occur at the downcore sediments, but they do not occur at the surface sediments. Ostracodes also do not occur at the heavily polluted areas in the eastern part of the Shihwa Lake both at the surface and downcore sediments, indicating that the abundance of ostracodes also can be used for a pollution indicator.

Calcareous nannofossil biostratigraphy and paleoclimatic/paleoceanographic history of Deep Sea Drilling Project (DSDP) Site 249 (Indian Ocean) during late Cretaceous

Im Chul Shin 대한지질학회 1996 지질학회지 Vol.32 No.6